Submit Method
Internet All Contributions benefit the support of this event and its future. Contributors receive confirmation from lejadance@verizon.net.
Fax/Mail JAPTC will contact you upon receipt of pledge and receipt of check, which is made payable to Philadelphia Civic Ballet Company, include Philly Tap Challenge in note area


Contribution and Ads - Information -
Please Fill in your mailing address and contact information below

First Name: *
Last Name: *
Address: *
 
City: *
State: *
Postal Code: *
Country:
E-Mail:
Day Phone:
Shipping Method:
  UPS Ground

Check desired circle of friends category or Ad category
The LaVaughn Robinson Circle      $500.00 tax deductible contribution
The Nicholas Brothers Circle      $250.00 tax deductible contribution
New LEJA Dance Circle      $100.00 tax deductible contribution
The Virtual Quilt Project Circle      $50.00 tax deductible contribution
The Philly Hoofers Circle      $25.00 tax deductible contribution
Full Page - Cover      $150.00 inside front, back or outside back
Full Page Ad      $100.00 inner booklet page 8 1/2 x 11
Half Page Ad      $60.00 inner booklet page 4x6
Quarter Page Ad      $40.00 inner booklet page 2x3 horizontal
Quarter Page Ad      $40.00 inner booklet page 2x3 vertical
1/8 Page Ad      $30.00 inner booklet page- business card size

Please Submit ad via email phillytapchallenge@verizon.net -
send in mail to 534 South 56th St. 1st fl. Philadelphia, PA. 19143

Contributor Payment Information


First Name: *
Last Name: *
Address: *
 
City: *
State: *
Postal Code: *
Country:
E-Mail:
Day Phone:
Payment Method:
Check
534 S. 56th Street, 1st Floor Rear Philadelphia, PA 19143

Check Number
   PayPal

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Ads and Contributions Circle of Friends
Ads and Circle of Friends Contributions are tax deductible through Philadelphia Civic Ballet Company - The Oldest Dance Company in the Commonwealth of PA.

REGISTRATION FORM - EXHIBITION PERFORMANCE VENUE

REGISTRATION FORM - TAP CHALLENGECOMPETITOR

Workshop Registration Form